HESI Compass Comprehensive Exit NCLEX-RN Practice
Test Bank EXAM LATEST VERSION 2026-2027 QUESTIONS
AND ANSWERS
A nurse is caring for a client with a diagnosis of abruptio placentae. For which early signs of
hypovolemic shock does the nurse closely monitor the client? Select all that apply.
Tachycardia Correct
Cool, clammy skin
Decreased respiratory rate
Diminished peripheral pulses Correct
Urine output of less than 30 mL/hr - answer>>A. Tachycardia Correct
D. Diminished peripheral pulses Correct
A nurse developing a nursing care plan for a client with abruptio placentae includes initial
nursing measures to be implemented in the event of the development of shock. After
contacting the physician, which of the following does the nurse specify as the first action in
the event of shock?
Checking the client's urine output
Inserting an intravenous (IV) line
Obtaining informed consent for a cesarean delivery
Placing the client in a lateral position with the bed flat - answer>>D. Placing the
client in a lateral position with the bed flat
A postpartum nurse provides information to a client who has delivered a healthy newborn
about normal and abnormal characteristics of lochia. Which of the following findings does
the nurse tells the client to report to the physician?
Pink lochia on postpartum day 4
, White lochia on postpartum day 11
Bloody lochia on postpartum day 2
Reddish lochia on postpartum day 8 - answer>>D. Reddish lochia on postpartum day
8
A nurse in a physician's office is conducting a 2-week postpartum assessment of a client.
During abdominal assessment, the nurse is unable to palpate the uterine fundus. This
finding would prompt the nurse to:
Document the findings
Ask the physician to see the client immediately
Ask another nurse to check for the uterine fundus
Place the client in the supine position for 5 minutes, then recheck the abdome -
answer>>A. Document the findings
A maternity nurse providing an education session to a group of expectant mothers
describes the purpose of the placenta. Which statement by one of the women attending the
session indicates a need for further discussion of the purpose of the placenta?
"Many of my antibodies are passed through the placenta."
"The placenta maintains the body temperature of my baby."
"Glucose, vitamins, and electrolytes pass through the placenta."
"It provides an exchange of oxygen and carbon dioxide between me and my baby." -
answer>>B. "The placenta maintains the body temperature of my baby."
A client arrives at the clinic for her first prenatal assessment. The client tells the nurse that
the first day of her last menstrual period (LMP) was September 25, 2012. Using Nagele's
rule, the nurse determines that the estimated date of delivery (EDD) is:
June 2, 2013
July 2, 2013
October 2, 2013
, September 18, 2013 - answer>>B. July 2, 2013
A client has been given a prescription for lovastatin (Mevacor). Which of the following foods
does the nurse instruct the client to limit consumption of while taking this medication?
Steak
Spinach
Chicken
Oranges - answer>>A. Steak
A nurse is reviewing the laboratory results of a client with ovarian cancer who is undergoing
chemotherapy. Which finding indicates to the nurse that the client is experiencing an
adverse effect of the chemotherapy?
Sodium 140 mEq/L
Hemoglobin 12.5 g/dL
Blood urea nitrogen (BUN) 20 mg/dL
White blood cell count of 2500 cells/mm3 - answer>>D. White blood cell count of
2500 cells/mm3
Which finding in a client's history indicates the greatest risk of cervical cancer to the nurse?
Nulliparity
Early menarche
Multiple sexual partners Correct
Hormone-replacement therapy - answer>>C. Multiple sexual partners
A nurse caring for a woman in labor is reading the fetal monitor tracing (see figure). How
does the nurse interpret this finding?
, Umbilical cord compression
Pressure on the fetal head during a contraction
Uteroplacental insufficiency during a contraction Correct
Inadequate pacemaker activity of the fetal heart - answer>>C. Uteroplacental
insufficiency during a contraction
A client who has undergone abdominal hysterectomy asks the nurse when she will be able
to resume sexual intercourse. The nurse tells the client that sexual intercourse may be
resumed:
At any time after the surgery
When menstruation resumes
When pelvic sensation and response to stimuli return
In about 6 weeks, when the vaginal vault is satisfactorily healed - answer>>D. In
about 6 weeks, when the vaginal vault is satisfactorily healed
A nurse is preparing to care for a client who has undergone abdominal hysterectomy for the
treatment of endometrial cancer. The nurse determines that the priority in the 24 hours
after surgery is:
Monitoring the client for signs of returning peristalsis
Instructing the client in dietary changes to prevent constipation
Encouraging the client to deep-breathe, cough, and use an incentive spirometer
Correct
Encouraging the client to talk about the effects of the surgery on her femininity and
sexual - answer>>C. Encouraging the client to deep-breathe, cough, and use an
incentive spirometer
A nurse is caring for a client with community-acquired pneumonia who is being treated
with levofloxacin (Levaquin). For which of the following findings, indicating an adverse
reaction to the medication, does the nurse monitor the client?
Test Bank EXAM LATEST VERSION 2026-2027 QUESTIONS
AND ANSWERS
A nurse is caring for a client with a diagnosis of abruptio placentae. For which early signs of
hypovolemic shock does the nurse closely monitor the client? Select all that apply.
Tachycardia Correct
Cool, clammy skin
Decreased respiratory rate
Diminished peripheral pulses Correct
Urine output of less than 30 mL/hr - answer>>A. Tachycardia Correct
D. Diminished peripheral pulses Correct
A nurse developing a nursing care plan for a client with abruptio placentae includes initial
nursing measures to be implemented in the event of the development of shock. After
contacting the physician, which of the following does the nurse specify as the first action in
the event of shock?
Checking the client's urine output
Inserting an intravenous (IV) line
Obtaining informed consent for a cesarean delivery
Placing the client in a lateral position with the bed flat - answer>>D. Placing the
client in a lateral position with the bed flat
A postpartum nurse provides information to a client who has delivered a healthy newborn
about normal and abnormal characteristics of lochia. Which of the following findings does
the nurse tells the client to report to the physician?
Pink lochia on postpartum day 4
, White lochia on postpartum day 11
Bloody lochia on postpartum day 2
Reddish lochia on postpartum day 8 - answer>>D. Reddish lochia on postpartum day
8
A nurse in a physician's office is conducting a 2-week postpartum assessment of a client.
During abdominal assessment, the nurse is unable to palpate the uterine fundus. This
finding would prompt the nurse to:
Document the findings
Ask the physician to see the client immediately
Ask another nurse to check for the uterine fundus
Place the client in the supine position for 5 minutes, then recheck the abdome -
answer>>A. Document the findings
A maternity nurse providing an education session to a group of expectant mothers
describes the purpose of the placenta. Which statement by one of the women attending the
session indicates a need for further discussion of the purpose of the placenta?
"Many of my antibodies are passed through the placenta."
"The placenta maintains the body temperature of my baby."
"Glucose, vitamins, and electrolytes pass through the placenta."
"It provides an exchange of oxygen and carbon dioxide between me and my baby." -
answer>>B. "The placenta maintains the body temperature of my baby."
A client arrives at the clinic for her first prenatal assessment. The client tells the nurse that
the first day of her last menstrual period (LMP) was September 25, 2012. Using Nagele's
rule, the nurse determines that the estimated date of delivery (EDD) is:
June 2, 2013
July 2, 2013
October 2, 2013
, September 18, 2013 - answer>>B. July 2, 2013
A client has been given a prescription for lovastatin (Mevacor). Which of the following foods
does the nurse instruct the client to limit consumption of while taking this medication?
Steak
Spinach
Chicken
Oranges - answer>>A. Steak
A nurse is reviewing the laboratory results of a client with ovarian cancer who is undergoing
chemotherapy. Which finding indicates to the nurse that the client is experiencing an
adverse effect of the chemotherapy?
Sodium 140 mEq/L
Hemoglobin 12.5 g/dL
Blood urea nitrogen (BUN) 20 mg/dL
White blood cell count of 2500 cells/mm3 - answer>>D. White blood cell count of
2500 cells/mm3
Which finding in a client's history indicates the greatest risk of cervical cancer to the nurse?
Nulliparity
Early menarche
Multiple sexual partners Correct
Hormone-replacement therapy - answer>>C. Multiple sexual partners
A nurse caring for a woman in labor is reading the fetal monitor tracing (see figure). How
does the nurse interpret this finding?
, Umbilical cord compression
Pressure on the fetal head during a contraction
Uteroplacental insufficiency during a contraction Correct
Inadequate pacemaker activity of the fetal heart - answer>>C. Uteroplacental
insufficiency during a contraction
A client who has undergone abdominal hysterectomy asks the nurse when she will be able
to resume sexual intercourse. The nurse tells the client that sexual intercourse may be
resumed:
At any time after the surgery
When menstruation resumes
When pelvic sensation and response to stimuli return
In about 6 weeks, when the vaginal vault is satisfactorily healed - answer>>D. In
about 6 weeks, when the vaginal vault is satisfactorily healed
A nurse is preparing to care for a client who has undergone abdominal hysterectomy for the
treatment of endometrial cancer. The nurse determines that the priority in the 24 hours
after surgery is:
Monitoring the client for signs of returning peristalsis
Instructing the client in dietary changes to prevent constipation
Encouraging the client to deep-breathe, cough, and use an incentive spirometer
Correct
Encouraging the client to talk about the effects of the surgery on her femininity and
sexual - answer>>C. Encouraging the client to deep-breathe, cough, and use an
incentive spirometer
A nurse is caring for a client with community-acquired pneumonia who is being treated
with levofloxacin (Levaquin). For which of the following findings, indicating an adverse
reaction to the medication, does the nurse monitor the client?
